Active NPI
Kaitlin Sikes, ARNP
- Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1598087496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9278566
- Practice address
- 807 Childrens Way
Nemours Childrens Clinic, Jacksonville
Jacksonville, FL 32207-8426 - Phone
- (904) 697-3694
- Fax
- (904) 697-3927
- NPI assigned
- Feb 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9278566 | FL | |
| Nurse Practitioner | 363L00000X | ARNP9278566 | FL | Primary |
Addresses
Primary practice location
807 Childrens Way
Nemours Childrens Clinic, Jacksonville
Jacksonville, FL 32207-8426
Mailing address
PO Box 191
Provider Enrollment Department
Rockland, DE 19732-0191
Phone (302) 651-5985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001922700 | Medicaid | FL |
Other names 1
- Kaitlin McCann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9278566 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Past | Accepting new patients |
Interoperability endpoints
- ksikes31729@direct.nemours.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1598087496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"address_2": "PROVIDER ENROLLMENT DEPARTMENT",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-5985",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 CHILDRENS WAY",
"address_2": "NEMOURS CHILDRENS CLINIC, JACKSONVILLE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078426",
"telephone_number": "904-697-3694",
"fax_number": "904-697-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIKES",
"first_name": "KAITLIN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-18",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9278566",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9278566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001922700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "MCCANN",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.